HomeMy WebLinkAboutHomestead_Rausch SIVE FORM S)!m,R(NB' IRMASUIIA fORV:SIA
EIMPORTANTNOTICETOHOMESTEADrPROPERTY OWNERS I r
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpa.ers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depannsent of
•
' Local Govemment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I:'PROPERTY LNFORMATION
Taxpayer Name Property Address
Rausch, Jeffrey A
803 N Han ST
Princeton IN 47670
762
Jeffrey A Rausch
803 N Hart State Parcel Number Legal Description
PRINCETON IN 47670-1453
Illttlitttltllttltttlll Ilrlrrirlrlrrrllrll !MIA 26-12-07-102-000.709-028 019-00709-00 OLD PLAN 150 PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I (� First //1 1 Middle Last
e1 rr2/ i le_>-c Ue� ec,usc �,
re Address(number ands city,state,and ZIP code) Same as property address
803 u . 1--4ctr+ s • ?r7h c_c_ice, T 64 7(070
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drives License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
State
PART 3:CERTIFICATION --- ------ ~—^-'--- - -.
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner1 '' Date
•
�, CLAIM FOR HOMESTEAD PROPERTY T
' CREDIT/STANDARD DEDUCTION
� S�ate Form 5473 (R6 / 4-03)
Presaibed by the DeparUnent o1 Local GovemmeN Finance
INSTRUCTIONS: See ievcrsc sidc lor /iling inslmctions.
� ��
�V�
1/
FORM
HC10
YEAR
� M�e) � certi(y Ihat on the 1st day of March, 20_
I(We) occupied s our c al pla f residence the (ollowing described real property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owne Are bu " under contract
`' Have a beneficial interest in the entity ihat is liable (or ihe properry taxes on the pmperty and that owns the property or is buying under a watract.
If buying om m�uaa, Fee Simple owneh name
Remrdefs olfice whara mnVacl is
County
Parcel
v� -1' �A1 1( )-1 -
H any portion of 1ha resitlential s4ucWra w
ot Ihe property utiizeA tn produce incoma.
Tamship
n01 axteetling one (1 � afle
Record number � Page
Tating district (ciry, tawn, townshiP)
I Is ihe property idquestion:
4u Real property ❑ Mobile Homo (I.C. 67.7-n .
wrrounds tha� sWCture is used lo produce income, tlesuibe the use and poNOn
�3.iw-_-�vr���'£�' ��-'tz�z�pROP.ERTY�OWNED'�.BY�C�I'AIMANT;IN.'OTHER`COUNTIES,�'1�'��.�����`^�y ='�+ �rs-°
-�-�� i�'�=��
County Tarnship Counry � Tawnship
I hereby certify Ihe above statemenls are W e, cortect and complete. Signature of Gaimant
Cress (number a� SUeef, cit}; sfale, 21P code)
�'4 �."��'?'�'' -'��.v'dst'1''U'..r3 �63" r ,i3 � o� � � '"' +Ci •
�� '�SSESSOR�USEONLY��' ���C3 TRUETAXrH *� ASSESSEUVALUE HOMESTEAD�*`t s N N.RESIDENTIA�+�
' [� av.�?"-4#'Qi"7'� v_"x`"`�i3��'. c4_'�.t �VALUE:F?'� 'wr .rAT�100%:�.O.F�.�Vtt ��;VAL'UE,�7�� f��'"�.3--.s«....�? VALUE'.��'s.����
Land not exceeding 1(one) aae immediately ��r�`"��'V`:���� 1;�
surrounding residenQal improvemenls. (�) ��:> ` ``f ;�y .4��r,u,'�..�,��,�
2 �� �� �SV �W � �� .
Other land �,�$'
I ) f;����
Tdal land (line 7 plus line 2) (3)
.. {-w a ,Y r+•• �
Dwelling (4) �,�3��'�� .. �'� � 3
ResidentielimprovementsorMnually �,�� r.�z-��.��''���
Assessed Modle / Manufactned Hane Gara e x�-f. �'"- 3'�"s :'�ica.' G:
9 (5) �F'�,,i ����
� r _ Y�
Otherimprovements (6) ��:.�� _;;ay��t�
;<+s- a .. . .
TUaI improvemenLs (line 4 through line 6) (�)
Tctal value (line 3 plus line n �g) .
I hereby certi(y �he above is We, corred, and Signature otl�ssessor Date signed
complele.
Veriryin9 aclan - Signature af /wditor Date sgned
���5�.�`°�-� -.�,X�:'�`Y�tr�.�•�'c'z� y�'+��STANDARU:DEDUCTION'ALCOWANCE;t�'�^,.'=" ^�k,:..%a�;-�a�-"."�?"�;�������.�.`�'i�'�3
20_Pay20_
�esser of 1/2 Homestead
vawanon w E35.000
5
SignaWrealAudilw " Datesignetl